The nurse assesses urine output following administration of a diuretic. Which step of the nursing process does this nursing action reflect?
A) Assessment
B) Outcome identification
C) Implementation
D) Evaluation
Ans: D
Assessing the client's response to a diuretic medication is an example of evaluation. During assessment, the nurse collects and synthesizes data to identify patterns. The nurse establishes desired outcomes with the client and family during the outcome identification and planning stage. The nurse initiates activities to achieve the desired outcomes during the implementation stage.
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A patient with Parkinson disease is demonstrating bradykinesia. The nurse will likely observe which action in this patient?
1. slowed or delayed movements 2. increased spontaneous movements 3. active exercise and high energy 4. very slow talk
The client with a severe allergy to peanuts expresses concern to the nurse that she is worried her 4-year-old son may inherit this allergy and be at risk for anaphylaxis. What is the nurse's best response?
A. "Your son may be more susceptible to allergies because you have allergies and should be tested to learn what his specific allergies are." B. "You should have your son wear a medical alert tag indicating a peanut allergy so that other people can help him avoid this allergen." C. "Your son is highly likely to have a peanut allergy because you do, and it will probably be more severe for him than it is for you." D. "Don't worry. Because allergies are produced by environmental exposure, unless you give him peanuts, he won't develop the allergy."
Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the pathology behind PMDD that are supported in research include:
1. Altered sensitivity in the serontonic system 2. Inhibition of the cyclooxygenase system 3. Fluctuations of the gonadal hormones 4. All of these are theories supported by research
A nursing instructor asks a student what discoveries are attributable to Florence Nightingale. The instructor determines that further teaching is needed if the student responds:
a. the need to monitor health care practitioners. b. the importance of structuring hospitals around care. c. the importance of collecting and using data for quality assessment. d. the importance of being informed regarding the activities of government policymakers.